Yeah, and both changed because, as medical science and discovery improved, the terminology became too vague and inappropriate compared to more accurate terms that better described the various conditions discovered. Just like how “falling ill” used to be all we had to describe things we knew nothing about like cancer, autoimmune disease, aggressive viruses or bacterias, etc.

That’s why these two words in mental context could only be used as a slur, since they’re entirely redundant in medicine now.